Fall 2018 Availability Requests

Our Fall session runs from Saturday, September 8th through Saturday, December 15th. Please complete this form indicating your availability for the Fall session by Friday, August 31st.

All new clients are asked to schedule an intake evaluation prior to enrollment. This information will help us to determine which of our services would be most appropriate and beneficial for your child’s areas for improvement. If you would like to schedule an intake, please fill out this form and our staff will be in touch to arrange a time.

Client's Name *

First

Last

Age & Grade

Parent's Name *

First

Last

Email *

Phone Number *

Please select the sessions you are interested in:

Individual Social Therapy

Social Skills Group

Social Skills Dyad

Teen Social Group

Teen Transition Group

Sibling Session

Occupational Therapy

Reading Specialist

Cogmed

Executive Functioning Group

Speech Therapy

Anxiety Group

Academic Tutoring

Adult Social Group

In-School Support

Your Availability (Please check ALL times available)

Monday 9am-12pm

Monday 12pm-3pm

Monday 3pm-6pm

Tuesday 9am-12pm

Tuesday 12pm-3pm

Tuesday 3pm-6pm

Wednesday 9am-12pm

Wednesday 12pm-3pm

Wednesday 3pm-6pm

Thursday 9am-12pm

Thursday 12pm-3pm

Thursday 3pm-6pm

Friday 9am-12pm

Friday 12pm-3pm

Friday 3pm-6pm

Saturday 9am-12pm

Saturday 12pm-3pm

Saturday 3pm-6pm

Additional comment or message about Fall 2018:

Email

SEC Mission

Building children’s and adolescent’s self-confidence and social connectedness.